IllinicareResources
Manuals & Guides:
- Provider Manual
- Quick Reference Guide
- Quick Reference Drug List
- Prior Authorization Requirements
- HEDIS Guide
- Payformance Sheet
- Billing Manual
- Preferred Drug List (PDL)
- Maintenance Drug Pharmacy Program
- Appropriate Use and Safety Edits
- Biophamaceutical Pharmacy Program
- CVS Caremark Supplied Biopharmaceutical Program
- Transplant Services Request Required Clinical Information
Forms:
- Claim Dispute Form
- Prior Authorization Form
- Notification of Pregnancy Form
- MemberConnections Referral Form
- Caremark Enrollment Form
- Medication Prior Authorization Form
- Therapy Referral Request Form
- Surgical Authorization Request Form
- Chronic Pain Management Referral Request Form
- DME Referral Request Form
- Home Health Services Prior Authorization Request Form
- Neuropsychological Testing Authorization Request Form
- Abortion Request Authorization (HFS form 2390)
- Sterilization Consent Form (HFS form 2189)
- Hysterectomy Information (HFS form 1977)
Behavioral Health Resources:
EDI Documents:
Provider Education Materials:
- Provider Orientation Presentation
- LTC Provider Orientation Presentation
- MemberConnections Brochure
- A Guide to Providing Culturally & Linguistically Competent Healthcare
- Reporting Abuse, Fraud and Neglect
Service Package II Video Webinars:
- Service Package II Overview
- LTC Provider Orientation
- More webinars coming soon!